Assessing a cut-off point for the diagnosis of abnormal uterine bleeding using the Menstrual Bleeding Questionnaire (MBQ): a validation and cultural translation study with Brazilian women

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dc.contributor.authorRezende, Gabriela Pravatta
dc.contributor.authorBrito, Luiz Gustavo Oliveira
dc.contributor.authorGomes, Daniela Angerame Yela
dc.contributor.authorSouza, Leticia Mansano de
dc.contributor.authorPolo, Sergio
dc.contributor.authorBenetti-Pinto, Cristina Laguna
dc.date.accessioned2024-05-14T10:32:36Z
dc.date.available2024-05-14T10:32:36Z
dc.date.issued2024
dc.description.abstractABSTRACT BACKGROUND: Abnormal uterine bleeding (AUB) is a common condition, and the Menstrual Bleeding Questionnaire (MBQ) is used for its assessment. OBJECTIVES: To translate, assess the cut-off point for diagnosis, and explore psychometric properties of the MBQ for use in Brazilian Portuguese. DESIGN AND SETTING: Prospective cohort study including 200 women (100 with and 100 without AUB) at a tertiary referral center. METHODS: MBQ translation involved a pilot-testing phase, instrument adjustment, data collection, and back-translation. Cut-off point was obtained using receiver operating curve analysis. Menstrual patterns, impact on quality of life due to AUB, internal consistency, test-retest, responsiveness, and discriminant validity were assessed. For construct validity, the Pictorial Blood Assessment Chart (PBAC) and World Health Organization Quality of Life – abbreviated version (WHOQOL-BREF) were applied. RESULTS: Women with AUB were older, had higher body mass indices, and had a worse quality of life during menstruation. Regarding the MBQ's psychometric variables, Cronbach's alpha coefficient was > 0.70 in all analyses, high intraclass correlation coefficient was found in both groups; no ceiling and floor effects were observed, and construct validity was demonstrated (correlation between MBQ score, PBAC score, and clinical menstrual cycle data). No difference between MBQ and PBAC scores were perceived after the test-retest. Significant differences were found between MBQ and PBAC scores before and after treatment. An MBQ score ≥ 24 was associated with a high probability of AUB; accuracy of 98%. CONCLUSION: The MBQ is a reliable questionnaire for Brazilian women. The cut-off ≥ 24 shows high accuracy to discriminate AUB.
dc.identifier.doi10.1590/1516-3180.2022.0539.r2.100423
dc.identifier.issn1516-3180
dc.identifier.otherS1516-31802024000100202-scl
dc.identifier.urihttps://repositorio-aptaregional.agricultura.sp.gov.br/handle/123456789/734
dc.relation.ispartofSao Paulo Medical Journal
dc.subjectMetrorrhagia
dc.subjectTranslations
dc.subjectValidation study [publication type]
dc.subjectAbnormal uterine bleeding
dc.subjectMenstrual bleeding questionnaire
dc.subjectProspective cohort study
dc.titleAssessing a cut-off point for the diagnosis of abnormal uterine bleeding using the Menstrual Bleeding Questionnaire (MBQ): a validation and cultural translation study with Brazilian women
dc.typeArtigos
oaire.citation.issue1
oaire.citation.volume142

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